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Introduction to Local Anesthesia and Review of Anatomy

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Introduction to Local Anesthesia and Review of Anatomy 5-Sep Introduction and Anatomy Review Dr. Bassiur 12-Sep Neurophysiology and Pain Dr. Bassiur 19-Sep Physiology and Pharmacology part 1 Dr. Bassiur 26-Sep Physiology and Pharmacology part 2 Dr. Bassiur 3-Oct Medical Assessment for Local Anesthesia Dr Chang Introduction to Local Anesthesia 10-Oct Armamentarium and Clinical Techniques Dr. Marder 17-Oct Exam 1 and Review of Anatomy 24-Oct Maxillary Anesthesia/Mandibular Anesthesia Dr. Chang 31-Oct online video and self review On Your Own 7-Nov Supplemental Injections and Alternative Therapies Dr. Bassiur 14-Nov MID EXAM 21-Nov Side Effects, Adverse Reactions, and Complications Dr. Michalowicz 28-Nov Prescription Writing and Oral Analgesics Dr. Eisig 5-Dec PERIO EXAM 12-Dec Review Dr. Bassiur 17-Dec Exam 2 • 1.Anterior Palatine Foramen • 2. Palatine Process of Maxilla • 1.Frontal Bone • 3. Palatine • 2. Supra-Orbital Foramen • 4. Greater Palatine Foramen • 3. Orbit (Orbital Cavity) • 5.Lesser Palatine Foramen • 4. Superior Orbital Fissure • 6. Pterygoid Processes of Sphenoid • 5.Inferior Orbital Fissure • 7.Zygomatic Process • 6. Zygomatic Bone • 8. Squamous Part of Temporal Bone • 7. Infra-Orbital Foramen • 9. Mandibular Fossa • 10. Styloid Process • 8. Maxilla • 11.Stylomastoid Foramen • 9. Mandible • 12. Mastoid Process • 10. Mental Foramen • 13.Mastoid Foramen • 11. Incisive Fossa • 14. Superior Nuchal Line • 12.Symphysis • 15. External Occipital Protruberance • 13.Vomer • 16.Median Nuchal Line • 14.Inferior Nasal Concha • 17. Inferior Nuchal Line • 15.Middle Nasal Concha • 18.Foramen Magnum • 16. Perpendicular Plate of • 19. Condyloid Canal • 20.Occipital Condyle Ethmoid • 21.Hypoglossal Canal • 17. Nasal Bone • 22.Jugular Foramen • 18. Lacrimal Bone • 23.Carotid Canal • 24.Foramen Spinosum • 25.Foramen Ovale • 26.Foramen Lacerum • 27.Vomer • 28.Transverse Palatine Suture • 1.Frontal Sinus • 2. Foramen Cecum • 3. Crista Galli • 4. Cribriform Plate • 5.Anterior Cranial Fossa • 6. Lesser Wing of Sphenoid • 7.Chiasmatic Groove • 8. Hypophyseal Fossa • 9. Dorsum Sella • 10. Optic Canal • 11.Anterior Clinoid Process • 12. Foramen Rotundum • 13.Foramen Ovale • 14. Foramen Spinosum • 15. Squamous Part of Temporal • 16.Petrous Part of Temporal • 17. Groove for Transverse Sinus • 18.Posterior Cranial Fossa • 19. Foramen Magnum • 20.Hypoglossal Canal • 21.Jugular Foramen • 22.Internal Acoustic Meatus • 23.Posterior Clinoid Process • 24.Foramen Lacerum • 25.Superior Orbital Fissure 1 Developmental Anatomy V1 V2 V3 2 1 V1 • Carries sensory fibers • Branches: only. – Nasociliary nerve • The ophthalmic nerve • sensory root of ciliary ganglion passes through the • posterior ethmodial nerve cavernous sinus and its • long ciliary nerve nasociliary branch exits • infratrochlear nerve the skull through the • anterior ethmoidal nerve superior orbital fissure. – lacrimal nerve – frontal nerve • supratrochlear nerve • supraorbital nerve V2 Within the cranium - Middle meningeal nerve In the pterygopalatine fossa V2 branches in four regions In the infraorbital canal On the face Zygomatico temporal Zygomatico Zygomatic nerve facial Naso- Orbital palatine branches In the Nasal Perygopalatine branches pterygopalatine nerve Palatine fossa branches Greater Pharyngeal palatine branch Posterior superior Lesser alveolar nerve palatine 3 Posterior Superior Alveolar Palate Within the cranium - Middle meningeal nerve In the pterygopalatine fossa V2 branches in four regions In the infraorbital canal On the face Branches of V2 • Branches within the cranium – Middle meningeal nerve • Branches within the pterygopalatine fossa – Zygomatic nerve Middle Superior Alveolar • Zygomaticotemporal nerve • Zygomaticofacial nerve – Pterygopalatine nerves • Orbital Branches • Nasal branches In the Infraorbital Canal – Nasopalatine nerve • Palatine branches – Greater palatine nerve – Lesser palatine nerve • Pharyngeal Branches – Posterior superior alveolar nerve Anterior Superior Alveolar • Branches within the infraorbital canal – Middle superior alveolar nerve – Anterior superior alveolar nerve • Branches on the face – Inferior palpebral branches – External nasal branches – Superior labial branches 4 V3 A.Zygomaticotemporal E. Greater Palatine B. Zygomaticofacial F. Lesser Palatine C. Post. Sup. Alveolar G. Mid. & Ant. Alveolar D. Nasopalatine H. Infraorbital A. Auriculotemporal B. Lingual C. Inferior Alveolar D. N. to the Mylohyoid E. Mental F. Buccal Branches of V3 • Undivided nerve – Nervous spinosus – Nerve to the medial pterygoid muscle • Divided nerve – Anterior division • Nerve to the lateral pterygoid muscle • Nerve to the masseter muscle • Nerve to the temporal muscle • Buccal nerve – Posterior division • Auriculotemporal nerve • Lingual nerve • Mylohyoid nerve • Inferior alveolar nerve • Incisive branch • Mental nerve 5 Trigeminal System 2 3 1 4 5 6 8 9 7 Posterior Superior Alveolar 13 MiddleWhat’s Superior missing? Alveolar Anterior Superior Alveolar 10 11 12 6.
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